Dr Shane Christopher Kim, MD in Portland, OR - Medicare Plastic And Reconstructive Surgery

Dr Shane Christopher Kim, MD is a medicare enrolled "Plastic Surgery" physician in Portland, Oregon. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Legacy Clinics Llc and his current practice location is 1130 Nw 22nd Ave Ste 420, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-4992.

Dr Shane Christopher Kim is licensed to practice in Oregon (license number MD29423) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871623678.

Contact Information

	Dr Shane Christopher Kim, MD
	1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995
	(503) 413-4992
	(503) 413-3699

Map and Direction

Physician's Profile

Full Name	Dr Shane Christopher Kim
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	22 Years
Location	1130 Nw 22nd Ave Ste 420, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shane Christopher Kim graduated from medical school in 2002

NPI Data:

NPI Number: 1871623678
Provider Enumeration Date: 03/07/2007
Last Update Date: 07/15/2013

Medicare PECOS Information:

PECOS PAC ID: 4789745787
Enrollment ID: I20090803000240

Medical Identifiers

Medical identifiers for Dr Shane Christopher Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871623678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	MD29423 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Good Samaritan Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Clinics Llc	0244144004	633

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shane Christopher Kim allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shane Christopher Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shane Christopher Kim, MD 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 Ph: (503) 413-4992	Dr Shane Christopher Kim, MD 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 Ph: (503) 413-4992

Reviews and Comments

Plastic Surgery Doctors in Portland, OR

Dr. Michael F. Bohley, M.D.,P.C. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10201 Se Main St Ste 20, Portland, OR 97216 Phone: 503-253-3458 Fax: 503-253-0856
Erik Matthew Wolfswinkel, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6687 Fax: 503-494-1717
Dr. Stiles Turner Jewett Jr., M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12400 Nw Cornell Rd, Suite 200, Portland, OR 97229 Phone: 503-646-0101 Fax: 503-350-1420
Michelle Bonapace-potvin, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave Bldg 1, Portland, OR 97239 Phone: 150-349-4668
Dr. Michael John Wheatley, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite 330, Portland, OR 97227 Phone: 503-413-3650 Fax: 503-413-3644
Reid Vance Mueller, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6687
Nick Orem Esmonde I, MD, MPH Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, L579, Portland, OR 97239 Phone: 503-494-8652 Fax: 503-494-8513

Dr Shane Christopher Kim, MD - Medicare Plastic And Reconstructive Surgery in Portland, OR